With over 900 pages of law & tens of thousands of pages of regulations, “ObamaCare” has been in the news and courts & now it’s on your desk and in your board room, C-suite and business units. Get your "cheat sheet" to navigating the implications of the Patient Protection Affordable Care Act (PPACA). The panel will tackle the hottest Affordable Care Act issues including: (1) Medicaid expansion - what states are expanding and what will be the impact to states that are not expanding; (2) New regulations - what are some of the most significant and controversial regulations and can more be expected in the near future; (3) Accountable Care Organizations (ACO) - great rewards are promised for healthcare companies willing to be accountable for better outcomes and savings, but what “pay for performance” and quality controls are being implemented, measured and reported and is it really worth it?
One of the in-house litigator's most important roles is quantifying litigation exposure. Whether evaluated at the enterprise level or on a case-by-case basis, the in-house litigator is under more pressure than ever to assist the corporation to manage/contain overall risk. Nuanced high/low analyses or "it depends" answers from a learned legal pulpit will not make the cut in today''s cost-conscious corporate environment. In-house practitioners need to have effective tools and methodologies to assess litigation risks and develop strategies for containing the cost of litigation, as well as financial exposure to the corporation. This program will explore novel ways the in-house litigator can approach litigation, and contain risk and cost, with a business (not only a legal) mindset.
The Stark Law has promulgated complicated regulations for transactions involving payments to physicians. All facets of the healthcare industry also face on a daily basis the shadow of government prosecutors focused on violations of the federal anti-kickback statute. These laws involve both criminal prosecution and civil liability, and in-house attorneys have at times been prosecuted as individual defendants. Enforcement is expanding to cover individual physicians as prescribers of company products and providers of services to companies, such as consulting and clinical investigator services, and to physician ownership of medical device distributors. Looming over healthcare companies and individuals is the potential to be debarred from participation in Medicare, Medicaid & other federal health care programs. In addition, in-house counsel need to be aware of obscure state laws on the issues of physician self-referral prohibition and anti-kickbacks. This program will discuss the government’s new enforcement trend and mechanisms that in-house counsel can employ to reduce these risks.
Part of risk management is managing the enterprise’s insurance coverage, submitting claims and getting claims paid. Insurance companies often avoid paying claims. You will learn: what the insurance companies’ obligations are with respect to claims adjusting; how to manage the process and maximize your recovery; insurer duties and the insured’s obligations; what to do when you get denials or reservation of rights letters; how the tri-party relationship of insurer, defense counsel and insured works; whether you can get in-house attorneys’ fees paid; and some creative ways to settle claims with insurers.
In this Quick Overview, in-house counsel will learn about the types of claims that may be covered under media liability insurance policies, plus some tips and precautions to help insureds maximize the value of their coverage in the United States.
Social networking is no longer relegated to personal communications; businesses are increasingly using Twitter, Facebook and LinkedIn to strengthen their relationships with consumers. While benefits of social networking are numerous, these sites have become increasingly attractive targets in litigation. This article discusses how organizations can mitigate the risks associated with social networking through thoughtful and proactive planning.
Companies facing claims under the US False Claims Act ("FCA") frequently possess employment practices liability insurance ("EPL") claims to cover losses arising from the whistleblower's alleged wrongful or retaliatory termination. In this quick overview, learn about EPL coverage and common related insurance issues.
The US Affordable Care Act (a/k/a Health Care Reform, or the ACA) is complicated. While there is nothing in the ACA that requires any employer to provide group health care coverage to its employees, the failure to do so can come with a price. The ACA is a game changer - one that requires a different approach to compliance than in the past. As with any complex law, the devil is in the details. This article contains some of the big picture strategies to consider when dealing with the ACA.
This checklist outlines issues and gives tips for policy conditions, sublimits and deductibles, anti-concurrent causation clauses, and liability issues when natural disaster is a factor.
This brief article explains the top ten considerations for your company to consider when choosing a spokesperson, purchasing a policy, and making a claim for coverage in the United States.